眼三针配合穴位注射治疗视神经萎缩临床疗效观察

发布时间：2018-06-21 23:25

本文选题：眼三针 + 穴位注射　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:通过随机对照观察眼三针配合穴位注射治疗视神经萎缩的临床疗效,探讨眼三针配合穴位注射在眼科临床应用中的优势,使其能在临床上推广而应用,进而改善患者的生活质量,减轻患者及其家庭的负担。方法:于2015年4月1日-2016年1月20日期间,广西中医药大学第一附属医院眼科住院病房收治的视神经萎缩病人共40例,随机分为治疗组(眼三针配合穴位注射)20例(31眼),对照组(单纯针刺组)20例(33眼)。治疗组采用穴位注射配合针灸治疗,先针刺眼三针(睛明、上明、承泣),针刺完毕运用复方樟柳碱注射液予患眼攒竹、太阳穴进行穴位注射及相应配穴,针刺每天一次,穴注每2天一次。一周治疗6日,休息1日。12日为一个疗程,共2疗程。对照组仅用针刺刺激上述各个穴位,包括穴注的太阳、攒竹穴及相应配穴,治疗疗程同治疗组。每日检查眼底及视力,并在治疗前及疗程结束后检查视野及视觉诱发电位,以治疗前后视力、视野、视觉诱发电位三个结果综合起来作为观察和评估的指标,并比较两组的疗效。结果:治疗组有效26只眼,无效5只眼,有效率为83.87%;对照组有效20只眼,无效13只眼,有效率为63.6%。两组有效率经过统计学分析差异有统计学意义,结果显示治疗组疗效优于对照组,差异有显著性(z=-2.053.P0.05)。治疗组视力好转有效率为80.64%,对照组视力好转有效率为为57.57%。两组经秩和检验,Z=-1.974,P0.05,差异均具有统计学意义(P0.05),结果显示治疗组视力提高有效率优于对照组,差异有显著性。治疗组与对照组治疗后平均视野测量值对比经统计学处理t=0.279,P0.05,具有统计学意义,表明治疗组平均视野测量值改善优于对照组。治疗组与对照组治疗后VEP100潜伏期测量值对比经统计学处理t=-2.656,P0.05,具有统计学意义,表明治疗组视觉诱发电位P100潜伏期测量值改善优于对照组。结论:通过对治疗组与对照组治疗前后视力、视野及视觉诱发电位检查结果的比较,提示眼三针配合穴位注射治疗视神经萎缩对于恢复视力、改善视野及视觉诱发电位都得到了较好的疗效,且优于单纯针刺治疗方法,是值得大家推广及广发运用的。
[Abstract]:Objective: to observe the clinical effect of three eye acupuncture combined with acupoint injection in the treatment of optic nerve atrophy, and to explore the advantages of eye three acupuncture combined with acupoint injection in the clinical application of ophthalmology, so that it can be popularized and applied in clinic. Then improve the quality of life of patients, reduce the burden of patients and their families. Methods: from April 1, 2015 to January 20, 2016, 40 cases of optic nerve atrophy were treated in the eye ward of the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. They were randomly divided into treatment group (n = 20) (n = 30) and control group (n = 20) (n = 33). The treatment group was treated with acupoint injection combined with acupuncture and moxibustion. After acupuncture, the eyes were given with compound anisodine injection, and the temple was injected with acupoints and corresponding acupoints. The acupuncture was done once a day. The injection is made every 2 days. 6 days a week, rest 1. 12 as a course of treatment, a total of 2 courses. The control group only used acupuncture to stimulate the above acupoints, including the point injection of the sun, Zanzhu point and the corresponding points, the course of treatment was the same as the treatment group. The fundus and visual acuity were examined daily, and visual field and visual evoked potential were examined before and after treatment. The visual acuity, visual field and visual evoked potential were taken as the indexes of observation and evaluation before and after treatment. The curative effect of the two groups was compared. Results: the effective rate was 83.87 in 26 eyes and 5 eyes in the treatment group, while in the control group, it was effective in 20 eyes and ineffective in 13 eyes, and the effective rate was 63.6. The results showed that the curative effect of the treatment group was better than that of the control group, and the difference was significant (zhu-2.053.P0.05). The effective rate of visual acuity was 80.64 in the treatment group and 57.57 in the control group. The difference between the two groups was statistically significant (P0.05). The results showed that the effective rate of visual acuity in the treatment group was better than that in the control group, and the difference was significant. The comparison of the mean visual field between the treatment group and the control group was statistically significant, which indicated that the average visual field measurement value of the treatment group was better than that of the control group. The comparison of VEP100 latency between the treatment group and the control group was statistically significant, which indicated that the P100 latency of visual evoked potential in the treatment group was improved better than that in the control group. Conclusion: by comparing the results of visual acuity, visual field and visual evoked potential before and after treatment between the treatment group and the control group, it is suggested that the visual acuity can be restored by the treatment of optic nerve atrophy with three-point acupuncture combined with acupoint injection. The improvement of visual field and visual evoked potential (VEP) is better than that of acupuncture alone. It is worth popularizing and applying widely.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.82

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